Utilization Manager Jobs in San Diego
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Search Results - Utilization Manager Jobs in San Diego
Macpower Digital Assets Edge Private Limited (MDA Edge)-San Diego
JOB SUMMARY: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which...
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Health Net-San Diego
and ad hoc meetings to resolve clinical issues and concerns.
• Provide people leadership, coaching and mentorship for a team of front-line medical directors including but not limited to scheduling needed Utilization Management coverage, annual goal...
Saviance Technologies-San Diego
Job Description: JOB DESCRIPTION: Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion. Troubleshoots when an appropriate provider, type of service, or appropriate...
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Sharp HealthCare-San Diego
preventive and wellness programs.
• Develops and Implements health plan clinical policies, goals and objectives.
• Provides professional leadership and direction to the functions within the Medical Management Department (Utilization/Cost Management...
appcast.io -
Resource Logistics, Inc.-San Diego
or if need to have a translator present at an appointment.
Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion. Troubleshoots when an appropriate provider, type of service...
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Monte Nido & Affiliates, LLC-San Diego
therapy
• Serving as liaison with families and outpatient providers
• Interact with insurance companies for pre-certification and utilization management
• Participating in discharge and aftercare planning
• Therapeutic meal support, while modeling...
National City (CA), 5 mi from San Diego
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Responsibilities:
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across...
icims.com -
TrueCare-San Marcos (CA), 30 mi from San Diego
including but not limited to Remote Patient Monitoring, Transitions of Care, Utilization Management, Risk Stratification, Chronic Care Management (CCM), Enhance Care Management (ECM).
TrueCare has been a cornerstone of quality Community Health, in North San...
Community Health Group-Chula Vista, 9 mi from San Diego
POSITION SUMMARY
Works with internal and external health care team to provide oversight of care coordination activities and promote effective and appropriate utilization of services and management of members in Case Management.
COMPLIANCE...
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Oceanside, 35 mi from San Diego
contractual and hospital procedures. Reviews, approves and signs refunds and administrative adjustments up to signature approval.
• Works collaboratively with Information Systems, Patient Registration, Utilization Management and other internal departments...
icims.com -
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